[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-medical-surgical-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"freq":22},"nurse-113-2-內外科護理學-034","nurse-113-2-medical-surgical-034",113,2,34,"王先生呼吸喘，動脈血液氣體分析報告為：pH 7.20、PaCO 2 61 mmHg、PaO 2 62 mmHg、HCO 3- 22 mEq\u002FL，此結果判讀，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"呼吸性鹼中毒","代謝性酸中毒","代謝性鹼中毒","呼吸性酸中毒","D",null,[],"本題考點在於動脈血液氣體分析(ABG)的酸鹼判讀。依判讀步驟:先看 pH 7.20 低於正常 7.35–7.45,屬「酸中毒」;再看 PaCO₂ 61 mmHg 高於正常 35–45 mmHg,是酸性且方向與 pH 一致,判為「呼吸性」;HCO₃⁻ 22 mEq\u002FL 落在正常 22–26,顯示尚未代償,故為呼吸性酸中毒,選 D。A 呼吸性鹼中毒需 pH 高、PaCO₂ 低,不符。B 代謝性酸中毒的主變化應為 HCO₃⁻ 下降,但此處 HCO₃⁻ 正常,不符。C 代謝性鹼中毒需 pH 高、HCO₃⁻ 上升,亦不符。整體以「pH 定酸鹼、對照 CO₂ 與 HCO₃⁻ 找主因」的邏輯判讀。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":40,"stem":41,"number":42,"year":27,"session":22},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840783340]